Document Detail


Implementing a syphilis elimination and importation control strategy in a low-incidence urban area: San Diego County, California, 1997-1998.
MedLine Citation:
PMID:  11029985     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: This study assessed a strategy designed to contain imported cases of syphilis and prevent reestablishment of ongoing transmission. METHODS: Reported syphilis cases during an endemic period (1990-1992) and an elimination period (1997-1998) were compared in San Diego, Calif. The elimination strategy, which focuses on rapid reporting of infectious syphilis cases by clinicians, prompt partner and sexual network management, outreach to marginalized populations, and implementation of an outbreak containment plan, was evaluated. RESULTS: Infectious syphilis incidence rates declined from 18.3 per 100,000 in 1998 to 1.0 per 100,000 in 1998. Of the 46 cases involving probable infection during 1997-1998, 19 (41%) were imported, mostly (79%) from Mexico. Outbreak containment procedures were implemented successfully for 2 small clusters. Outreach workers provided sexually transmitted disease information to a large number of individuals; however, no cases of infectious syphilis were identified, suggesting that syphilis transmission was not occurring among marginalized groups. CONCLUSIONS: This syphilis elimination and importation control strategy will require monitoring and adjustments. Controlling syphilis along the US-Mexico border is a necessary component of syphilis elimination in the United States.
Authors:
R A Gunn; S L Harper; D E Borntrager; P E Gonzales; M E St Louis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of public health     Volume:  90     ISSN:  0090-0036     ISO Abbreviation:  Am J Public Health     Publication Date:  2000 Oct 
Date Detail:
Created Date:  2000-10-19     Completed Date:  2000-10-19     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1540-4     Citation Subset:  AIM; IM    
Affiliation:
Centers for Disease Control and Prevention, Atlanta, Ga., USA. rgunnxhe@co.san-diego.ca.us
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MeSH Terms
Descriptor/Qualifier:
California / epidemiology
Contact Tracing
Disease Notification
Disease Outbreaks / prevention & control*
Humans
Incidence
Program Evaluation
Risk Factors
Syphilis / epidemiology*,  prevention & control*,  transmission
Urban Health
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